Case Presentation: A 35-year-old black male presented to the emergency department (ED) with acute onset diffuse abdominal pain, along with nausea and vomiting. Review of systems was positive for polyuria and polydipsia. The examination was unremarkable apart from a sizeable fungating lesion of the left lower extremity by the ankle measuring 12 x 8 cm. […]

Case Presentation: A 61-year-old male with a past medical history of type 2 diabetes mellitus (T2DM), hypertension, hyperlipidemia, coronary artery disease (CAD) with multiple previous PCIs and status post CABG 6 days prior, presented to the ED with a 1 day history of nausea, vomiting, upper abdominal discomfort and chest pain. He was maintained on […]

Case Presentation: An 89-year-old year old woman with a history of type II diabetes mellitus, insulin-naïve and well-controlled on a regimen of metformin, sitagliptin, and dapagliflozin, presented with 3 days of nausea, vomiting, and poor intake of food and liquids. She had recently been prescribed cephalexin for a suspected UTI. She reported a subacute history […]

Case Presentation: 48-year-old-female with the history of Diabetes Mellitus presented with the complain of feeling sick for four-day-duration, chronic diarrhea, and unintentional weight loss of 20 lbs. over a period of two weeks. She was hypotensive with blood pressure 83/42 mmHg, hypothermic with temperature 35 C, tachycardic with the heart rate of 132 and tachypneic […]

Case Presentation: A 26-year-old male with a history of schizophrenia presented with generalized abdominal pain and altered mental status. He has a history of multiple psychiatric admissions, specifically seven times in the past two years, and long-term antipsychotic usage. Most recently, he was discharged on clozapine, divaloproex, and trazodone. Initial physical exam was notable for […]